Cold Heart, Warm Hands Holby City


Cold Heart, Warm Hands

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Arthur said I'd never make it as a doctor.

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Why should Arthur's opinion account for anything?

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You want me to say you're better than Zosia?

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She can be off her game, because she can play the dead mum card.

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My mum had this thing about the pond in the field behind our house.

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She told me never to go near it.

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We had a huge pond behind our house.

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My mum always said I wasn't allowed to go anywhere near it.

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IVF. Of course. The nausea, the needle phobia.

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Is this your third round?

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When are you going to come and see Emma?

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I've been seeing her with the nanny, when you're here.

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I'm not going to let you poison me. Or Emma.

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I'm taking her away from you.

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Ooh!

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Tell me it's the hormone injections that are making you want to kill!

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Not the sight of my face!

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-But I love your face, hun!

-Thank you.

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I want to see your face in the face of my babies!

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-Yeah, I know!

-So...

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Let's...get...pregnant!

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SHE LAUGHS

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Come on.

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It's like a tragic ballet on ice.

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Cut the atmosphere with a knife.

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Carve it into blocks. Make us an igloo!

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You don't think Jonny will really launch

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-a legal battle for Emma, do you?

-I'm way past knowing

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what grief these two are going to dish up to each other.

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Do I say something? Involve HR?

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HR? What, Sophia from HR? She sticks her nose into Jac's business,

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she'll be hanging from a hook in the morgue.

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Morning, campers! How ya diddlin'?

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Just when you thought it was safe to go back in the water.

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-Alan Herring!

-Herring by name! Herring by nature!

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-What's that even mean?

-No idea, Mo. It all just tumbles out of me

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north and south. Half of it don't make sense.

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-Lovely to see you, Alan.

-And you, Mo.

-But why are you here?

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Wallpaper samples, Mo. I loved the Darwin decor so much last time,

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I decided to recreate some of the ambience at home.

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-That's not what it says here.

-Ah, Mr Hope!

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Still getting extras work on the Hobbit movies, eh?

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I thought I told you, we didn't want to see you back here again.

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Shouldn't have done a cowboy job on me ticker, then,

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should you, Pro-fess-or?

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-SOFT LAUGHTER

-It says here he collapsed.

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Ah! There they are - the Darwin lovebirds!

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Last time I saw yous...

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Ooh! ..waft of pheromones made me eyes water.

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-Alan, how are you?

-Hi, how are you doing?

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Jac Sprat, keeper of my heart.

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By the way, I want it back some time.

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HE LAUGHS

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-What've you done now?

-I think you must've left one of your earrings

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in here last knockings, cos something's not right.

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High temperature, fatigue, night sweats, and chest pain.

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Yeah. No biggie.

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Only hurts when I breathe(!)

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-We did an aortic valve replacement?

-Ten months ago.

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So, Spratters... Word is, Jock slipped you his little scotch egg

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and you two was off to play "happy families".

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-Right, Alan, let's see if we can find you a bed, shall we?

-Uh-oh!

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I know that look. Someone's not getting no sugar on his porridge.

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-We're late!

-Sacha looks grumpy. Golden boy was early.

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-No. We're late. Today, no mistakes. Agreed?

-I've got your back.

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Afternoon.

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We have a rush on hernias.

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Er, Zosia, umbilical hernia in bed five, please.

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Right, we have a hiatus hernia pre-op

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and an inguinal hernia post-op.

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Mr Carling - ready to go. Mr Cart's already been.

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-Well, do we get to scrub in on the hiatus?

-Yes, you do.

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-Yep, I'll take that.

-OK.

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Ah, you caught the easy one. All done and dusted.

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-Discharge. Think you can handle it?

-ALARM BUZZES

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BUZZING CONTINUES

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Seems like Mr Cart needs our help, again.

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Bit of a buzzer-bug, I fear. Third time. Bed one.

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-Did you know about this?

-No!

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You better not have saddled me with a trouble-maker, Spreckles.

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BUZZING CONTINUES

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Don't wear your thumb out!

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GRUNTING

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-Oh, I'm going to be sick.

-It happens.

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-HE RETCHES AND COUGHS

-That is why we stock

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a lovely selection of paper bowler hats,

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for your delectation...and vomit.

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-Ooh.

-Sorry, I didn't mean to...

-That's fine. Like I said...

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Kevin, it happens...

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Kevin Cart?

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As in Scurvy Giblet Wet-Fart Cart?

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Serves you right, you fat little munter!

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GASPING

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Do I know you?

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-Dr Tina's at 4:30.

-Do you think I'm going to forget that?

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-Meet here or outside her office?

-Office.

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And you, remember what she always says.

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-Yes. So don't say it.

-Don't do a home pregnancy test.

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You said it. Not at "home". So I can't.

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-Hey!

-Search me, Officer.

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-Look, no pregnancy test kits.

-Good!

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-THEY LAUGH

-Don't be late.

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-Mwah! I'm going to grab a coffee. Do you want...?

-Caffeine?

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-You really think your sperm need caffeine.

-Come on!

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I eat Brazil nuts, pumpkin seeds, broccoli, oysters.

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-Just a big ol' lovin' machine!

-I've done selenium and vitamin B.

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A little cappuccino's not going to hurt.

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Yuck! Nothing in the world is worth chugging that for!

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You promised - "whatever it takes".

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-Well, I draw the line at wheatgrass snot.

-Mean it. Don't be late.

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Nothing could possibly make me late.

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Listen to Dr Tina. Wait for the official results!

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SHE SIGHS

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Ah, Raf. I was just about to page you. Glad I caught you.

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-Where are we going?

-Freight handlers had an emergency call from the airport.

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They just unloaded a cargo box under an hour ago.

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It's a short flight from Rotterdam.

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-All the way in the hold. Unpressurised.

-Sub-zero temperature.

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-Practically frozen.

-What is?

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-They found a body.

-A stowaway.

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I want to see it. But I don't! But I do!

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-HORN BLARES

-Wow!

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HORN BLARES AGAIN

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As far as anyone could see, the body was a dead body.

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It was rigid, apparently.

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Airport first aider thought she could feel a faint pulse.

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Ambulance crew knew we had an ECMO machine at AAU, so...

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-Looks like it's already news.

-Pulse described as very, very weak.

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We found him like this in the hold, but we couldn't move him

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because some metal's pierced his leg. I was sure I felt a pulse.

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Show me.

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Don't cover him. Keep him cold.

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Excuse me.

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You did good.

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Darren Copeland?

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-"Dar" Copeland?

-Dominic.

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It's Dominic now. Deed poll. Dar?

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I always hated "Dar". I mean, really, is that as inventive

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as a schoolboy's imagination could possibly get?

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Abbreviating Darren to "Dar"?

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-You're a nurse now?

-Doctor, Wet-Fart! I'm a doctor!

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You're a doctor? That's amazing!

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-We all thought you'd go out...

-Poof-Dar! Gay-Dar! Bend-Dar!

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-HE SNORTS

-You lot were so creative(!)

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-You said you were going to be an actor!

-Well, I'm a doctor.

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And I'm YOUR doctor.

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And the big wheel of karma is turning round and round and round

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and guess what?

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You...Kevin... You're it!

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-What's that mean?

-An inguinal hernia? Really?

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You do realise that's THE most common type of hernia.

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-One in every eight men.

-Mine was really painful.

-Ooh!

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Body Mass Index of 40?!

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Kevin, have you never heard of a treadmill?

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Too many pastries. Not enough pilates.

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-Mr Fart.

-Should I be seen by another doctor?

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And what do you do for a living, Kevin?

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-Warehouseman.

-Warehouseman? Oh, noble profession.

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-There's a lot of heavy lifting. The hernia was caused...

-Kevin Cart MBE

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for services to..."warehousing". I don't think so.

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-I'm covered in sick.

-So you are. I'll have a nurse clear that up.

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-All in good time.

-Do you know what...

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Touch that buzzer once more...

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-I stink of puke!

-Yes. You do.

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-HE SIGHS

-You will stay there

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and you will be quiet. But most importantly of all,

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you will not tell anyone on this ward that you know me.

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-I've got a really bad pain in my...

-And if you do, Kevin Cart,

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I will tell my boss

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exactly what you and your ugly ignorant friends did to me.

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Did what to you?

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It goes... # Boom-diddy-boom Diddy-boom-diddy-boom

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# Diddy-boom-diddy-boom Diddy-boom-boom-boom... #

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Shut up, Alan, or, so help me, I'll punch you!

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There you go! Bit of the old Sprat back.

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You love me really. Don't she?

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Yeah, Nurse Maconie's the expert on human emotion.

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Hang on, go back.

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-Left again.

-Can you roll on to your right side, please?

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-And they all rolled over and the little...

-Shut it!

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Sorry, Alan, it's just we have to concentrate.

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There.

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-That look thickened to you?

-Maybe slightly.

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What are you thinking? Infection or age-related wear and tear?

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Oi! Enough with the "age" stuff!

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-Let's wait until we see the bloods.

-Mmm.

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You not discharged your inguinal?

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Nope.

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Right, well, I'm off to do a Nissen fundoplication repair.

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Riveting(!)

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-I think Sacha wanted that bed clear as soon as possible.

-That's the plan.

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Pull the short hernia straw?

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Yes and no.

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I shouldn't tell you this...

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-But...

-You want me to stop checking discharge meds forms

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in order to look you in the face and say, "What shouldn't you tell me?"

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Look, I can't. Patient confidentiality.

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Dominic, we're not doing melodrama today. Sacha was gunning for...

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You know I told you that I was bullied at school?

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We need to get him out.

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Do you want me to take over?

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-No.

-We should intubate him. Get me a kit.

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No. No intubation! I'm sorry.

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The state he's in, oxygenation is the least of our problems.

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We'll intubate him inside.

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Do you think he's going to die?

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Not if I can help it.

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-Did we get that?

-Give me a job, Raf, please? Tell me what you need.

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OK. Yes, good.

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Look, er, we're going to move very quickly.

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As his temperature rises, oxygenation will become crucial.

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-Could lead to diffuse cerebral hypoxia?

-Precisely.

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Now what I want is for you to go and get Ms Effanga.

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Tell her to prep for cannulation, possible sternotomy.

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-You want me to run an errand?

-Yes, that's it. Get Mo.

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Well, go!

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No. Stay with the boss guy. That one - he knows what he's doing.

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Where's those cutters?

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CUTTERS WHINE

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LOUD GRINDING BAR SNAPS AND RATTLES

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-You can't leave him like that!

-I know. I just had to tell someone.

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-SHE SIGHS

-You're the only one I can trust.

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I'll clean him and discharge him.

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No, you shouldn't have to deal with it.

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Look, Sacha told me to discharge him. So...

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WE'LL discharge him.

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Or we'll go and tell Sacha. There has to be some protocol about this.

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No, it's fine, really. I'll clean him up.

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Let's not make this official.

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We discharge him together or I tell Sacha.

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We know the vomiting isn't clinically significant

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and there are no other problems.

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No cock-ups. Noses clean. Remember?

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OK. OK. Fine. We'll discharge him together.

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But please don't tell Sacha.

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I don't want to be the problem doctor today.

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And I don't need everyone knowing my personal business. Only you.

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You have no idea how happy I was to get your call.

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"Come treat a frozen, lifeless body

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"found in an air cargo container with practically no pulse."

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-It's way more appealing than being on Darwin today.

-With Jac and Jonny?

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Mm-hm. I hear urinary infections are more fun.

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Thanks.

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HEART MONITOR BEEPS

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Er, the paramedics couldn't get any decent venous access.

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His core temperature means his veins are in spasm.

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-If you do get in, we pump Hartman's.

-Definitely. If we get in.

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-Hartman's?

-It's a solution.

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IV crystalloid solution?

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-MO:

-What's his sats?

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Er, no reading on the pulse oximeter. Suture.

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-Heartbeat?

-Very deep. Very weak.

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Right, so are we saying he's as good as dead before we even start?

0:14:040:14:07

His core temp is 22 degrees. You know as well as I do,

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you're not dead until you're warm and dead. This guy's freezing.

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So why are we not warming him up?

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When everything's frozen, it's in shut down.

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-Body tissue's in suspension.

-When it warms, the damage gets done.

0:14:180:14:22

Lack of blood, lack of oxygen - that's what'll kill him.

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-What about bicarb? I read you should inject bicarb...

-Yeah, definitely(!)

0:14:250:14:29

That would kill him quicker than just about anything.

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Overheat the blood before the heart can pump. End of story.

0:14:320:14:35

Look, you want to do something useful? Get rid of them!

0:14:350:14:37

Look, I'm going to need both of your help to get him on the pump.

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-Sure.

-CHATTER OUTSIDE

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Raf, we have to be very sure we're doing the right thing here.

0:14:430:14:46

What's the alternative?

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That pump is here on probation.

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We can't afford to make mistakes.

0:14:510:14:53

So, we helicopter him out to a specialist centre?

0:14:530:14:55

-Really?

-There is a news crew in the building.

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Precisely! Look, this goes well, which it will, it's down to you.

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You turning Holby into something dynamic.

0:15:040:15:07

Why do I get the feeling you're trying to butter me up?

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Look, I'm just the monkey who works the machine.

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You got us the machine in the first place.

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If this is a baby, we're having it together.

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OK.

0:15:250:15:26

177.

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178!

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179.

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-SHE SIGHS

-I'm not looking.

0:15:350:15:38

Oh, my good God. I am looking!

0:15:400:15:43

Thank you! Thank you! Thank you! Yes! Yes! Yes! Yes! Yes!

0:15:430:15:46

Can I ask you something, Darren? As a doctor.

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-You can shut your mouth.

-It hurts.

0:15:490:15:52

My chest.

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My nipple really hurts.

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Go and see your GP.

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Or better still, don't.

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-It's crazy. My nipple's so sore. I'm worried about it.

-Good.

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-I'm embarrassed.

-You should be.

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I don't think I remember school the same way you do, Dar... Dominic!

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I'll never forget it.

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-I don't know what it is...you think I'VE done.

-All of you.

-No, me!

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-Me? What am I supposed to have done to...?

-Bullied me! Humiliated me!

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-Hurt me!

-Bullied you?!

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Dar, I'm Scurvy Giblet Wet-Fart Cart, remember?!

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Man-boobs at 14! A ginger afro, freckles

0:16:320:16:35

and a mum that looked like a Princess Fergie blimp!

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-Well, you ruined my adolescence.

-You think I wasn't get bullied?!

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I mean, fair enough, you were a little poof...

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What's going on?

0:16:470:16:48

Nothing.

0:16:490:16:51

It's about time we discharged you

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and got you out of our hospital, Mr Cart.

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-Are you a doctor?

-Yes.

-Could you have a look at my chest?

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I told him to go and see his GP.

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We were supposed to be discharging him, remember?

0:17:040:17:07

-What seems to be the matter with your chest?

-His nipple hurts.

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My nipple's flipping leaking blood!

0:17:130:17:15

-Please leave the building.

-Dr Tressler, is it?

0:17:160:17:19

These ECMO machines, there are only - what -

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five or six of them in the country? This is a fantastic...

0:17:210:17:24

-Listen!

-..news story.

-It is not acceptable for you to be here.

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-It's not appropriate, I'm sorry.

-But...

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-You look happy.

-You don't! Can I see him?

-He's in theatre.

0:17:340:17:37

I'll only be a minute.

0:17:370:17:39

-You look, erm...

-What?

0:17:400:17:43

-Flushed.

-Thanks(!)

-No, no. In a good way.

0:17:430:17:46

Good news?

0:17:480:17:49

What's he doing?

0:17:490:17:51

He's putting a patient on ECMO.

0:17:510:17:52

Frozen refugee found in the hold of a plane.

0:17:520:17:55

-Not a good moment, then.

-To see you?

0:17:550:17:58

Surely there's no such thing?

0:17:580:18:00

Smooth, Harry Tressler. Very smooth.

0:18:000:18:03

You like that? The way I flipped it over, turned it into a compliment?

0:18:030:18:06

Kind of weird.

0:18:060:18:08

Me? Weird?

0:18:080:18:09

You're saying you didn't see me

0:18:090:18:10

with a pregnancy test stick in my hand just now?

0:18:100:18:13

-I did.

-And this grin?

0:18:130:18:15

Well, you're either pregnant or you're not.

0:18:150:18:17

And thrilled one way or the other. Had to bet...

0:18:170:18:20

I'd go with pregnant.

0:18:200:18:22

A positive pregnancy test and still you're flirting with me?

0:18:220:18:25

There would be something wrong with me if I wasn't

0:18:250:18:27

and I know how much our dinner date meant to you.

0:18:270:18:29

Dinner date?

0:18:290:18:30

We went to a drugs launch buffet, because my husband couldn't.

0:18:300:18:33

Tom-ate-oes, tomatoes.

0:18:330:18:35

Incorrigible!

0:18:350:18:37

-What?

-Look it up!

0:18:370:18:38

-We don't need to tell Sacha.

-We absolutely do!

0:18:420:18:44

He has an oozing nipple and painful lumps in his underarm.

0:18:440:18:47

Sacha told me to discharge him. I'm just doing what I was told.

0:18:470:18:50

He might have a tumour, Dom!

0:18:500:18:51

I just... I don't want him here! The sight of him reminds me...

0:18:510:18:54

-You don't have to have anything to do with him...

-What if he says something?

0:18:540:18:58

-You really want to let him have power over you again, do you?

-Who?

0:18:580:19:01

Dom's inguinal hernia.

0:19:010:19:02

-Mr Cart?

-I thought he was just a simple discharge?

0:19:020:19:04

Well, actually, he's got a discharge.

0:19:040:19:06

-What, operation wound?

-Oozing nipple and lumps.

0:19:060:19:09

Let's go and take a look.

0:19:090:19:11

-I don't need everyone crashing in on my case!

-There is another issue.

0:19:110:19:13

-No!

-Apparently...

-Don't!

-Apparently...

-Don't!

0:19:130:19:16

Right, Arthur, go and examine Mr Cart, please.

0:19:160:19:18

Thank you.

0:19:190:19:21

I have warned you both!

0:19:240:19:25

Zero tolerance for medical student dramas, right?

0:19:250:19:28

Now, you - every ward patient file updated and ready for my rounds.

0:19:300:19:33

You - my office. File all past-patient cases.

0:19:330:19:36

And both, back in an hour to explain yourselves.

0:19:360:19:38

You were asked to stay in or around your bed, Alan.

0:19:580:20:00

Pump head syndrome.

0:20:020:20:04

-What?

-Google it.

0:20:040:20:07

-Why?

-I Googled it.

-Good for you.

-I Bing'd it. Yahoo'd it. The lot.

0:20:070:20:11

-So...

-I think I've got it.

0:20:110:20:13

-Post perfusion syndrome?

-Yeah. Ask the Prof.

0:20:130:20:16

Oi! Prof!

0:20:160:20:18

Could I have pump head syndrome?

0:20:180:20:22

Well, it's not actually a proper recognised...

0:20:220:20:24

They say Bill Clinton's got it.

0:20:240:20:26

That's why he's done some really stupid things.

0:20:260:20:29

-What does he think he's got?

-Post perfusion syndrome.

0:20:290:20:33

Like Monica Lewinsky.

0:20:330:20:35

I think I got it from here.

0:20:350:20:37

I do.

0:20:380:20:39

Thanks for letting me stay. I'll keep out the way.

0:20:460:20:49

Without you, he wouldn't be alive. We wouldn't be about to do this.

0:20:490:20:53

Good to go, guys. Chop-chop.

0:20:530:20:55

I'd love you to get as hands-on as you want here.

0:20:550:20:57

The more you know about ECMO, the more you'll love it.

0:20:570:21:00

-The more you'll fight for it.

-OK. Tell me what you want.

0:21:000:21:02

Opening the right femoral artery.

0:21:020:21:04

We injected 5ml of lidocaine around the site.

0:21:040:21:07

-Only local anaesthetic?

-What if the pain wakes him up?

0:21:070:21:10

In his state, waking up in any way, shape or form

0:21:100:21:12

is a good thing for him.

0:21:120:21:14

Yeah, if he's able to feel pain, then things are looking up.

0:21:140:21:16

Need the cannula, please.

0:21:160:21:18

We open and cannulate one vein and one artery.

0:21:180:21:21

Guy, you do the vein.

0:21:210:21:22

Suck the blood out of the vein using the pump,

0:21:230:21:26

through the extractor and back up the artery.

0:21:260:21:30

Raf?

0:21:300:21:31

Inserting the large bore cannula into the outflow.

0:21:310:21:36

Vein is cannulated.

0:21:520:21:53

-Clamps on and connected?

-On.

-Mm-hm.

0:21:580:22:01

MACHINE WHIRS

0:22:010:22:03

OK...

0:22:030:22:05

Slowly draining.

0:22:050:22:06

What flow rate would you expect?

0:22:090:22:11

Blood this cold. You know, start slow. Two litres.

0:22:110:22:14

Honestly, this...blows my mind.

0:22:140:22:17

The exchanger takes the carbon dioxide out of the blood

0:22:170:22:20

-and puts oxygen in.

-Warms it up too.

0:22:200:22:22

Clamps off?

0:22:240:22:25

-Off.

-Off.

0:22:260:22:27

BEEPING

0:22:300:22:32

Once it's warmed and oxygenated...

0:22:350:22:38

That's the good stuff. That's what'll bring him back.

0:22:380:22:41

Good job.

0:22:430:22:44

There is a study in America - only one, mind you -

0:22:460:22:50

that posits that people who have been put on a bypass machine

0:22:500:22:54

during heart surgery suffer cognitive impairment.

0:22:540:22:57

I was on one when I had my valves done. Turned stupid as a turnip.

0:22:570:23:01

As a result of being put on a bypass pump.

0:23:010:23:05

Pump head, see? Makes you do stupid things.

0:23:050:23:08

You don't need a bypass to make you do stupid things, Alan.

0:23:080:23:12

-No. But maybe it made me do extra stupid things.

-Like?

0:23:120:23:17

Frankly, I've always thought the whole idea was ridiculous.

0:23:180:23:21

-I entirely disagree.

-Why does that not surprise me?

0:23:210:23:24

-I'm sorry!

-The study at Duke University Medical Centre

0:23:240:23:27

suggests that during bypass, while on a pump,

0:23:270:23:30

the brain is showered with tiny fragments and bubbles of oxygen...

0:23:300:23:33

-Microemboli.

-My, you have been Googling.

0:23:330:23:36

..which can cause minor brain damage

0:23:370:23:39

and possibly some cognitive impairment.

0:23:390:23:42

Including "poor recall, social difficulties

0:23:420:23:45

"and personality changes".

0:23:450:23:48

We have done a thousand bypass procedures.

0:23:480:23:51

They're the meat and potatoes of our trade.

0:23:510:23:53

That doesn't mean they can't cause damage.

0:23:530:23:55

Really, you're going to go with this one small...?

0:23:550:23:58

As theories go, it carries some weight.

0:23:580:24:00

-In horse dung.

-Oh, and you'd know because?

-Because, up until today,

0:24:000:24:03

I'd never heard of it, because Professor Hope...

0:24:030:24:05

No, because if I think it's true, then it must be wrong?

0:24:050:24:07

Oh, yeah, Jac. That's right. Because anything you believe in

0:24:070:24:11

is bound to turn out to be some kind of poisonous cack!

0:24:110:24:14

I'm with you, Spratters.

0:24:140:24:15

Heart op pump made me soft in the noodle.

0:24:150:24:18

It's official.

0:24:220:24:23

Mr Cart? I've been looking for you. Er, where are you going?

0:24:340:24:37

Out of here. To another hospital.

0:24:370:24:39

-Why?

-Because I'm not staying here...with him.

0:24:390:24:43

LIFT BEEPS 'Doors closing.'

0:24:430:24:45

CROCKERY RATTLES HE CRIES IN PAIN

0:24:450:24:47

Wheelchair, please.

0:24:470:24:49

HE WINCES AND GROANS Stay still, stay still.

0:24:490:24:51

Try not to move.

0:24:510:24:52

KNOCK ON DOOR

0:24:520:24:54

-I know that grin. You did a test.

-No!

-You lie.

0:25:030:25:07

-I do.

-What?

0:25:070:25:09

-What do I always say?

-"Don't do a home test."

0:25:090:25:12

-What did you do?

-A home test.

0:25:120:25:14

You're mad! What did I say?

0:25:140:25:16

-I said it too!

-And by the looks on your face, it read positive.

0:25:160:25:20

-Yes.

-Is she?

0:25:200:25:22

-Are you?

-Why do I always say not to do tests?

0:25:220:25:25

Not to get your hopes up.

0:25:250:25:27

Not to drive yourself and your partner crazy with unreliable data.

0:25:270:25:30

Not always unreliable.

0:25:300:25:31

-No. But a home test...

-Isn't as accurate! I know.

0:25:310:25:35

-So...?

-Home tests can give false positives,

0:25:350:25:38

-because you have HCG in your blood.

-I know!

0:25:380:25:41

I injected it myself. Remember?

0:25:410:25:44

Makes your body think it's pregnant.

0:25:440:25:46

Just for a while. Then...

0:25:460:25:48

-Is she?

-My breasts tingle.

0:25:480:25:50

I feel like I'm about to start my period the whole time.

0:25:500:25:53

It would explain the violent mood swings.

0:25:530:25:55

And I've got that weird metallic taste in my mouth.

0:25:550:25:58

-Is she pregnant?

-I am pregnant! I know it. I can feel it.

0:25:580:26:03

No.

0:26:030:26:06

No?!

0:26:060:26:08

No, you are not pregnant.

0:26:080:26:11

-You're joking.

-Sweetheart, I wish I was.

0:26:160:26:19

OK...

0:26:270:26:29

You've popped some sutures.

0:26:300:26:32

What's this?

0:26:340:26:35

-OK, is that hurting?

-Ow! Yeah, yeah! Ow, ow, ow!

0:26:360:26:39

-Yeah.

-Oh!

0:26:390:26:40

OK. I'll redo your sutures, and then we'll find out what this is.

0:26:400:26:43

Just...

0:26:430:26:45

Just don't let him touch me.

0:26:470:26:49

Who, Mr Cart? Who mustn't touch you?

0:26:490:26:51

-Hi.

-Why did you want to see me here?

0:27:050:27:08

I just thought we could take some time away from work,

0:27:080:27:10

from the ward, to discuss what's...

0:27:100:27:13

What's going on?

0:27:130:27:14

-Professor Hope's personal mediation service.

-Please.

0:27:150:27:19

I don't want to run a professional department

0:27:290:27:31

with a personal turmoil raging at its core.

0:27:310:27:34

Who's raging? I'm not raging?

0:27:340:27:36

-I'm as calm as a mill pond.

-Yeah, right(!)

0:27:360:27:40

-I have been made aware, through Ms Effanga...

-Huh?!

0:27:410:27:44

-Why does that not surprise me?

-Motormouth Mo.

0:27:440:27:47

..that you intend to challenge Jac for custody of Emma.

0:27:470:27:50

No disrespect, but, um...

0:27:500:27:53

this really isn't within your remit.

0:27:530:27:56

Within my department.

0:27:560:27:58

Between...my friends

0:27:590:28:01

Look, I appreciate that, in the shock and aftermath of Bonnie's death,

0:28:050:28:11

-you might not exactly be thinking straight and so...

-Don't...

0:28:110:28:15

And so, in understanding of this...

0:28:180:28:20

I'm prepared to absolutely forget what you said to me...

0:28:200:28:23

-Don't you dare!

-..when you threatened to challenge me.

0:28:230:28:26

Don't you DARE use Bonnie's death as an excuse for MY behaviour!

0:28:280:28:33

I am fighting you...

0:28:340:28:37

because I believe that you will do my daughter harm.

0:28:370:28:41

-I tried. One-time offer.

-And for your information....

0:28:440:28:47

..I have a lawyer already instructed and quite ready to prove

0:28:490:28:54

that you're not fit to have sole custody of Emma.

0:28:540:28:58

What's going on?

0:29:040:29:06

Hmm? You said yourself, you caught an easy one.

0:29:060:29:10

You know, hernia discharge. You can't do that without a fight?

0:29:100:29:12

-We weren't fighting.

-Well, that's not what it looked like.

0:29:120:29:16

It's personal. I didn't want to have to say.

0:29:160:29:19

He has a history with the patient.

0:29:200:29:23

A history?

0:29:230:29:24

-We went to school together.

-Well, that's fine. It's no big deal.

0:29:240:29:28

Arthur and Zosia can take over, OK. Just keep out of his way. OK?

0:29:280:29:31

SHE SIGHS

0:29:310:29:33

-Am I missing something?

-Tell him!

-No!

0:29:330:29:36

Tell me what?

0:29:360:29:38

He...bullied me.

0:29:380:29:40

-At school or...?

-Zosia wanted me to come and report it to you.

0:29:420:29:46

I didn't want to say anything. I just wanted to get on with my job.

0:29:460:29:49

Unfit mother, Elliot. You heard him.

0:29:530:29:55

I don't mean to sound petty but he started it.

0:29:550:29:58

Jac, if you get legal representation, it gets official.

0:29:580:30:01

Messy. Impersonal. Bureaucratic.

0:30:010:30:03

He's questioning my ability to be a mother!

0:30:030:30:06

Of your daughter. Your baby. A tiny little package of life

0:30:060:30:09

-which you both went through so much to bring into this world.

-Yes!

0:30:090:30:12

-MY daughter! She came from MY body.

-A child that you're both

0:30:120:30:17

going to stand in front of a judge and squabble over?

0:30:170:30:20

-Unfit mother.

-I know.

0:30:200:30:22

-Do you have any idea what it feels like...?

-Please, please!

0:30:220:30:26

Just let me talk to him.

0:30:260:30:27

Before you to go war, let me try and make him back down.

0:30:270:30:31

Ah, lovely-jubbly! Just the guys I was looking for.

0:30:310:30:34

The Yin and Yang of the "pump head" debate.

0:30:340:30:37

You know the sort of clients I hate treating most.

0:30:370:30:40

Ones who've got nothing wrong. You told us.

0:30:400:30:42

Clients who've got no physical reason not to get pregnant

0:30:420:30:45

are worst, because I've got no answers.

0:30:450:30:48

Got an answer for me?

0:30:480:30:50

-For us?

-Other sort of clients I hate

0:30:500:30:53

are anyone in the medical profession.

0:30:530:30:55

Doctors are worse because they don't believe you.

0:30:550:30:58

They think another doctor will give them another answer,

0:30:580:31:00

because they know doctors.

0:31:000:31:01

-Not infallible.

-Are you saying we should get another opinion?

0:31:010:31:05

Sure. Go private. Go abroad. Do whatever gives you hope.

0:31:050:31:09

-Because?

-Because I'm not going to give you much.

-Come on!

0:31:090:31:13

We've only had three sessions of IVF. Some people have ten.

0:31:130:31:16

-It's not a question of money.

-I know.

0:31:160:31:19

You can throw money at IVF and get results sometimes.

0:31:190:31:22

But only if you've got a sound basis to work on.

0:31:220:31:25

-We haven't?

-I just feel, in your case,

0:31:250:31:28

there are issues in compatibility that we need to address.

0:31:280:31:32

This last set of IVF, as you know,

0:31:330:31:35

we did ICS - intracytoplasmic sperm injection.

0:31:350:31:38

One sperm directly injected into one egg. Best bet all round.

0:31:380:31:41

-But Amy didn't get pregnant?

-No.

-Doesn't mean we have to stop.

0:31:410:31:45

Long ago, I learned never to say never in this job.

0:31:450:31:48

It's the same in my world.

0:31:480:31:49

The human body is an amazing and a surprising thing.

0:31:490:31:53

We just have to keep trying.

0:31:530:31:54

Oi! You look at me, you think "Lager Man". Am I right?

0:32:120:32:17

Dyed in the wool amber nectar necker.

0:32:170:32:21

-A liking for a particular...

-Rose!

0:32:210:32:24

Rose vino! Wine! I'm buying it by the box!

0:32:240:32:29

-Again...

-Strictly Ballroom! Sudoku! Steaming showers!

0:32:290:32:33

-I mean, I'm a bath man!

-None of these minor developments

0:32:330:32:37

change my mind about pump head syndrome.

0:32:370:32:40

-Excuse me, I have to go.

-Then there's the affair.

0:32:400:32:43

24 years a loyal, faithful, loving husband. Suddenly,..

0:32:450:32:50

..I'm bonking me book-keeper.

0:32:520:32:54

How do you explain that, Professor?

0:32:550:32:58

Hmm?

0:32:590:33:00

What was that in there?

0:33:000:33:02

-The S word. We don't mention the S word now?

-Please!

0:33:020:33:05

-I've got a patient about to go into...

-Sperm, Raf.

0:33:050:33:08

-Sperm. Sperm. Sperm. Sperm.

-HE SIGHS

0:33:080:33:10

Blood exchange is a long, slow process.

0:33:140:33:18

We have to keep constant monitoring. And fit a Bair Hugger.

0:33:180:33:21

I'm also keeping a close eye on heparin levels,

0:33:230:33:25

which controls the viscosity of the blood.

0:33:250:33:28

Don't get me wrong. ECMO. Resus. Very compelling medicine.

0:33:280:33:32

But it's kind of passive. Do you know what I mean? It's, um...

0:33:320:33:36

reactive, not pro-active.

0:33:360:33:38

-Oh...OK.

-Personally, I'm more of a sort of, er...

0:33:380:33:41

knife-and-fork, up-to-the-elbows kind of surgeon.

0:33:410:33:44

Is that blood?

0:33:490:33:50

Mr Self, there's a bleed!

0:33:530:33:54

Yeah, blood pouring out at the cannulation site.

0:33:580:34:01

OK, get Raf.

0:34:010:34:02

-Er, he's got a consultation.

-He needs to be here now. Go get him.

0:34:020:34:05

-Yeah, no...

-I said go!

0:34:050:34:06

Now give me a swab!

0:34:070:34:09

-One sperm was injected into one egg. One "Class A" egg.

-Ah!

0:34:110:34:14

-So it's my fault?

-No, Raf!

0:34:140:34:16

It's your sperm's fault. Over which I accept you have little control.

0:34:180:34:22

-Is this an appropriate place...?

-You know well as I do,

0:34:220:34:25

tests showed the mumps you got in Malaysia damaged your testicles.

0:34:250:34:28

-OK, so we might need more attempts...

-The mumps

0:34:280:34:30

and a possible gene abnormality mean your little guys are ruined.

0:34:300:34:33

It only takes one.

0:34:340:34:35

-You might not have one. A working one.

-OK!

0:34:350:34:39

-So it IS my fault.

-Don't do this, Raf.

0:34:390:34:41

I want to have our baby. Not watch you behave like one!

0:34:410:34:44

You're a doctor.

0:34:480:34:50

There are alternatives. Let's examine those alternatives.

0:34:500:34:53

Let's just be clear about this. If there's a problem with my sperm,

0:34:530:34:57

you are prepared to... KNOCK ON DOOR

0:34:570:34:59

-Excuse me. Sorry.

-I'm in a meeting!

0:34:590:35:01

-It's Bakaray, big bleed.

-Get out, Harry!

0:35:010:35:04

Guy's scared he'll bleed out.

0:35:040:35:06

I've got to go.

0:35:060:35:08

A mass? What's a mass? Is it bad?

0:35:160:35:19

Er, it just depends what kind of mass it is.

0:35:190:35:22

Well, what kinds are there? I mean, I tried to show it to Darren...

0:35:220:35:25

-Darren?

-..but he wouldn't even look at it.

0:35:250:35:27

Now you're telling me I need to do this needle...what?

0:35:270:35:29

Fine needle aspiration cytology. It's a further examination.

0:35:290:35:33

I'm not saying we were best mates or anything,

0:35:330:35:35

but, of the boys in our year, I'd say I was one of his few friends.

0:35:350:35:38

Right. It's a histological biopsy of the mass. Sorry, OK, who is Darren?

0:35:380:35:44

Dr Copeland. Dominic.

0:35:440:35:46

-What, OUR Dominic?

-I used to go round his house.

0:35:460:35:49

His mum used to bake these home-made Cornish pasties. Proper crinkle top.

0:35:490:35:54

-My mum couldn't bake a brick.

-OK, well, um...

0:35:540:35:57

Under the microscope, we'll be able...

0:35:570:35:59

I still see her down at the supermarket.

0:35:590:36:01

-She works Saturdays on the deli counter.

-Yeah.

0:36:010:36:03

..to identify the formation of cellular...

0:36:030:36:06

-His mum?!

-Yeah, well, not to talk to, exactly. But, you know, nod hello.

0:36:060:36:10

-You mean his stepmother?

-No, his mum.

0:36:100:36:12

No, he doesn't have a step mum. His parents are just his parents.

0:36:120:36:15

Right, erm...

0:36:150:36:17

Dominic's mother is, er...

0:36:190:36:21

-is dead.

-Oh, my God! When?!

0:36:210:36:24

I only saw her, like, two weeks ago!

0:36:240:36:27

She died when he was 12. Um, the dog drowned.

0:36:270:36:31

-The dog?

-Yeah.

0:36:310:36:32

Nah, he's Mr Allergic.

0:36:320:36:34

He used to carry, um, tissues up his sleeve, like a granny.

0:36:340:36:37

-That's one of the reasons he got stick.

-Right, OK, so Darren...

0:36:370:36:41

-..is Dominic Copeland?

-He told me not to say nothing.

0:36:420:36:46

-But then you found a mass!

-Right, OK.

0:36:460:36:48

The cytology's just a precaution.

0:36:480:36:50

Carole Copeland's dead.

0:36:540:36:55

My mum will be gutted.

0:36:560:36:58

The post perfusion study cites that cognitive decline

0:36:580:37:01

is more about the slowing down of mental reactions.

0:37:010:37:04

He don't look at you like he used to.

0:37:040:37:06

Inability to perform mental arithmetic sums.

0:37:060:37:09

-Are you having a barney?

-Some vocabulary diminishment.

0:37:090:37:12

-Or is it more serious?

-Not having an extramarital affair!

0:37:120:37:16

Who? You? Me? Or him?

0:37:160:37:18

You!

0:37:180:37:19

Personality changes. That's what it says.

0:37:210:37:24

I mean, I never used to fancy Sylvia. Now I do, see?

0:37:240:37:28

They refer more to depression, increased mood swings.

0:37:280:37:31

Could have something to do with it!

0:37:310:37:34

-I don't know, Alan. Maybe...

-Maybe works for me!

0:37:340:37:38

Tell that "maybe" to my lawyer.

0:37:380:37:40

Hi. It's very nice to meet you.

0:37:420:37:45

Suction. Come on.

0:37:490:37:51

-What happened?

-Haemorrhaging round the cannula.

0:37:510:37:53

We need some more units of cross match.

0:37:530:37:55

I'm trying to put an extra stitch in round the cannulation area.

0:37:550:37:58

If you can't put in a purse string, you'll have to pack it.

0:37:580:38:01

Trying to pull the string against the flow! I can't see a thing!

0:38:010:38:03

-Suction!

-What's the ACT?

0:38:030:38:05

-400.

-Why's that so high? It should be 180.

0:38:050:38:08

-I increased it. I gave him the usual dosage - 25K.

-Did I tell you to?

0:38:080:38:12

-No, but...

-Well, that's why the bleed's out of control.

0:38:120:38:15

Because the heparin's way too high.

0:38:150:38:16

-Do you mind if I...?

-No, please.

0:38:180:38:21

-Give me some tape. Just below the cannulation site.

-Way ahead of you.

0:38:210:38:25

-Could you just...?

-Put my finger on that artery?

0:38:270:38:29

-Do you want me to...?

-Get out of my theatre before you kill my patient?

0:38:290:38:32

Yes, please!

0:38:320:38:34

Can you give me some glue and some Fibrillar?

0:38:340:38:37

We'll pack the site and slowly release the snares.

0:38:370:38:40

What exactly is it you're doing?

0:38:410:38:43

Basic stuff.

0:38:430:38:45

Just a trick I picked up in Malaysia.

0:38:450:38:47

Their vascular guys make me look like a troll tying crab pots.

0:38:470:38:52

OK, pressure's coming back up.

0:38:530:38:56

Good work.

0:38:560:38:57

Listen, Raf, I'll, er... I'll leave you to it, OK?

0:38:570:39:00

RAF SIGHS

0:39:030:39:04

You should definitely look at this.

0:39:060:39:08

We need to do a fine needle aspiration on the lumps.

0:39:080:39:10

Why does it feel like you just made me the problem with Sacha?

0:39:210:39:24

I don't like Arthur sniffing around.

0:39:240:39:27

Blood's warming.

0:39:500:39:51

-Pressure's dropping.

-ALARM BEEPS

0:39:530:39:55

Don't do this.

0:39:550:39:56

-Right, he's beginning to fibrillate.

-Maybe that's a good thing.

0:39:560:39:59

-No, there could be a bleed in the pericardium.

-No, no, no.

0:39:590:40:02

-He's tamponading.

-Right, what are the options?

0:40:020:40:04

Saw his chest open. Drain the pericardium.

0:40:040:40:06

We saw his chest open in this state and he'll die.

0:40:060:40:09

-We've got to get to that leak.

-What's the alternative?

-He dies.

0:40:090:40:12

All we'd require, Ms Naylor, is for you to appear in court

0:40:140:40:17

and give a professional testimony on Mr Herring's behalf.

0:40:170:40:21

You really need to go to all this trouble for a divorce hearing?

0:40:210:40:23

Well, it's not exactly a divorce.

0:40:230:40:26

I'm sorry, Ms Naylor, I'm not a family lawyer.

0:40:260:40:29

-I'm a criminal lawyer.

-Have you had a look at these?

0:40:290:40:32

-Criminal?

-Yeah. You see, Spratts...

0:40:320:40:35

I embezzled three quarters of a million from the VAT man.

0:40:350:40:39

-Staphylococcal endocarditis.

-Totally out of character.

0:40:390:40:42

-Not me at all.

-Embezzlement?

-Exactly!

0:40:420:40:45

I mean, does that sound like me?

0:40:450:40:48

-Endocarditis?

-Vegetations.

0:40:480:40:50

It wasn't a thickening of the valve walls.

0:40:500:40:52

It's vegetations, bacterial formations around the valve.

0:40:520:40:56

Infection spread quickly. We're past antibiotics, I'm afraid.

0:40:560:40:59

-Vegetations?!

-Growths around the valve.

0:40:590:41:03

We're going to have to remove the valve and fit a new one.

0:41:030:41:05

-I'm going to need another operation?

-As soon as possible.

0:41:050:41:08

You going to open me up, again?

0:41:080:41:10

Open you up, pop you on bypass and cut the valve out.

0:41:100:41:14

Unless, of course, you object to going on bypass again.

0:41:140:41:17

-What?

-You could just let the vegetations bloom around your valve

0:41:170:41:21

-until it stops working.

-And?

0:41:210:41:23

And then, your heart would cease to beat.

0:41:230:41:25

ALARM BEEPS

0:41:330:41:35

Wait!

0:41:450:41:46

-Do we want to do this?

-It's your call.

0:41:470:41:49

He's been through so much already.

0:41:490:41:51

Yeah, but if it wasn't for you, he'd be long dead.

0:41:510:41:54

Pressure's dropping like a stone.

0:41:540:41:56

Now or never.

0:41:580:41:59

SAW WHINES

0:42:030:42:06

Salt and vinegar or cheese and onion?

0:42:130:42:15

I would've said cheese and onion.

0:42:170:42:20

Naturally, I can tell, snack-wise, you're no choccy comfort-eater.

0:42:200:42:23

That's a fat girl's game. But, erm...

0:42:230:42:25

Bad news?

0:42:280:42:30

I couldn't help noticing earlier, when, er...

0:42:300:42:33

-You barged into my office.

-The boss told me to go get Raf.

0:42:330:42:36

Yeah. But now, go away. Please!

0:42:360:42:38

Raf's got a nightmare on his hands. Another emergency.

0:42:400:42:43

Big surprise! My worst moment in living memory

0:42:450:42:47

and he's spending it with an ECMO pump!

0:42:470:42:50

Not pregnant, then?

0:42:530:42:54

-Not your business!

-I know, I know.

-So go away!

0:42:540:42:58

So what is it? Eggs or sperm?

0:43:000:43:02

You really didn't just ask me that!

0:43:030:43:05

Sperm, then.

0:43:090:43:10

You ever been punched in the throat by a Chinese girl, Harry?

0:43:100:43:14

No. I've been slapped in the face a few...

0:43:140:43:17

..times.

0:43:180:43:20

We should put some warm saline in the pericardium.

0:43:200:43:23

Pericardium is cauterised.

0:43:230:43:25

Excellent.

0:43:250:43:26

Right, all I need to do now is... Paddles, please.

0:43:260:43:29

..shock this patched-up heart back into some kind of normal rhythm.

0:43:290:43:32

-Charge to 20.

-Charging.

0:43:320:43:35

You know what, I do love your ECMO machine.

0:43:350:43:38

-It's a cracking bit of kit.

-I knew you would.

0:43:380:43:40

But it's got nothing on these things. Knives, saws, paddles.

0:43:400:43:44

Charged.

0:43:440:43:45

Shocking!

0:43:450:43:46

This, Raf, this is surgery!

0:43:480:43:51

Charge again!

0:43:510:43:52

So, like I explained, um, we'll sit you down.

0:43:550:43:59

There we go. Er...

0:44:010:44:03

So we'll locate the mass and then we'll insert

0:44:030:44:06

-a special hollow needle into it.

-Several times.

0:44:060:44:09

Yep, and then we'll remove some tissue samples

0:44:090:44:12

from the centre of the mass.

0:44:120:44:15

-Let's get that off. It'll be a little bit sore.

-Ah!

0:44:150:44:18

OK.

0:44:190:44:20

Er, yes, sometimes a few punctures of the needle is necessary. It's just

0:44:200:44:24

so the cytopathologists have enough tissue to run their tests.

0:44:240:44:27

-Is this going to hurt?

-Yes.

-OK, erm...

0:44:270:44:30

Maybe we could give Mr Cart a local anaesthetic, just to dull the pain?

0:44:300:44:34

If absolutely necessary.

0:44:340:44:36

-Don't want to suffer if I don't have to.

-Yeah.

0:44:360:44:38

Not a reasoning you applied to your own actions.

0:44:380:44:40

Zosia! Just want to say that, as a result of

0:44:400:44:42

a totally confidential conversation that I've had with our patient,

0:44:420:44:46

it occurs to me that we may have grasped, or more to the point,

0:44:460:44:48

been given the wrong end of the stick.

0:44:480:44:51

-I'm sorry, what?

-Some of what we think we may know

0:44:510:44:54

regarding the history between our patient and a certain F1 doctor...

0:44:540:44:58

(it may not be true.)

0:44:580:45:00

So if we...

0:45:000:45:02

And then I'll...

0:45:020:45:04

OK.

0:45:080:45:09

There we go.

0:45:100:45:12

Can we just have one question at a time, please? ..Yes?

0:45:160:45:19

Yes, Kim Keeble, HL1 TV.

0:45:190:45:21

Can you tell us exactly what is an ECMO machine?

0:45:210:45:24

I don't want to blind you with science,

0:45:240:45:27

but what Mr Di Lucca and the Acute Admissions Unit team

0:45:270:45:30

achieved here today is nothing short of a miracle.

0:45:300:45:34

These machines, ECMO pumps, are used in intensive care situations

0:45:340:45:39

to maintain pulmonary function.

0:45:390:45:41

To keep heart and lung patients alive.

0:45:410:45:44

But what we did here today

0:45:440:45:46

was to adapt this machine for use in a different context -

0:45:460:45:50

on an emergency patient.

0:45:500:45:52

Now, we strongly feel that these machines

0:45:520:45:55

should be available in every emergency department.

0:45:550:45:58

-You brought him back from the dead?

-That's probably an exaggeration.

0:45:580:46:02

They're calling what you do the "Lazarus Technique".

0:46:020:46:05

And what you did today was "nothing short of a miracle",

0:46:050:46:08

according to a leading specialist.

0:46:080:46:09

Er, well, let's not get too prosaic...

0:46:090:46:12

It was a miracle! It made me totally want to become a doctor!

0:46:120:46:15

Seriously, I was going to pack it in, but...seeing your team...

0:46:160:46:20

I'm going back to medical school. Taking my exams.

0:46:200:46:23

And judging from Lisa's performance today, she'd make a great doctor.

0:46:230:46:26

REPORTERS SHOUT QUESTIONS

0:46:260:46:29

-LAWYER:

-'This could work entirely in our favour.'

0:46:290:46:31

They're about to zip open me ribs and lop off the top of me ticker!

0:46:310:46:35

-On bypass!

-On or off, I could still snuff it before dinner time.

0:46:350:46:39

But if you survive, Mr Herring, another bout of bypass.

0:46:390:46:43

Another dose of pump head syndrome!

0:46:430:46:45

We've even more excuse for your financial misjudgement.

0:46:450:46:48

-What, where we blame the doctors for what I done?

-Er, now!

0:46:480:46:51

-I'm your lawyer. I know nothing of this.

-Oh, please.

0:46:510:46:54

I robbed the books, cos I was trying to show Sylvia I was Jack Flash!

0:46:540:46:58

Please, do not say such things in my presence. I have to defend you!

0:46:580:47:01

-They're ready for us now, Alan.

-This could be a landmark case.

0:47:010:47:05

You know what?

0:47:050:47:07

-I don't care.

-I'll collect evidence and testimony.

0:47:070:47:10

Are you absolutely sure you want to drag the people

0:47:100:47:12

about to try and save your heart through the courts?

0:47:120:47:15

Yeah, don't bother, Mannesh. I'm not going to lie and cheat.

0:47:150:47:18

Court or not...I could die in there.

0:47:180:47:21

So you're not going to fight the pump head angle?

0:47:210:47:23

What about Bill Clinton?

0:47:230:47:24

You know what, Jac, you're right.

0:47:250:47:28

What will be will be.

0:47:290:47:32

Sometimes, you've just got to take it on the chin.

0:47:320:47:34

Is he going to live?

0:48:010:48:02

-Yes.

-This morning, he was a lump of frozen meat. Now...

0:48:040:48:07

Not quite frozen. More like a ready meal.

0:48:070:48:10

-Chilled.

-What I mean is, you made him live again.

0:48:100:48:15

Raf...

0:48:150:48:17

you can work miracles.

0:48:170:48:19

Don't you start with the miracle stuff.

0:48:190:48:21

I want my miracle.

0:48:210:48:22

Our miracle.

0:48:220:48:24

-Do you think I don't?

-Not as much as I do.

0:48:240:48:27

Even that girl, the first aider.

0:48:270:48:30

You changed her life but you won't change mine.

0:48:300:48:33

-I've said I'll go on any drugs that you want me to.

-Why haven't you?

0:48:330:48:38

The side effects - water weight gain and painful man boobs.

0:48:380:48:43

-What if they don't work?

-Well, let's just try first.

0:48:430:48:46

I need to know what we do if they don't.

0:48:460:48:48

If ever we needed proof he's an inveterate liar,

0:48:570:49:00

next to poor old Kevin and his TB, Darren's mum.

0:49:000:49:03

-Don't walk away from me.

-This is not the time or the place.

0:49:120:49:16

-For me to hear you're committed?

-To you?

0:49:160:49:18

-You don't think I'm committed to...?

-Having a baby. Starting our family.

0:49:180:49:21

-Doing whatever it takes.

-And that means what?

0:49:210:49:24

-Sperm donor.

-Let's not do this here.

0:49:240:49:27

We can do it anywhere you like, Raf. So long as we do it now.

0:49:270:49:31

You would really carry another man's baby?

0:49:420:49:44

-My egg. Our baby.

-But not mine?

0:49:440:49:47

Don't pretend. Without my sperm, it's not mine.

0:49:470:49:50

We bring it up. It's our baby.

0:49:500:49:53

-No.

-And if you don't have a single fertile sperm,

0:49:530:49:56

-we don't have a baby?

-I'm not bringing up another man's child.

0:49:560:49:59

-My child! For God's sake!

-But not mine.

0:49:590:50:01

So, if YOU can't do it, WE don't do it?

0:50:030:50:07

What about me?

0:50:070:50:08

We have our work. We have each other.

0:50:100:50:13

-You could take another degree. Do your PhD.

-I want to have a baby!

0:50:130:50:18

-Yeah, and if we can't, then we...

-I've injected myself with hormones.

0:50:180:50:22

Run the nightmare of tests, scares, almosts and chemical pregnancies!

0:50:220:50:26

-I've done everything I can!

-But I can't do what's required of me?

0:50:260:50:30

You know, why not just print me a T-shirt - Firing Blanks?

0:50:300:50:34

No-one cares what we do, Raf!

0:50:340:50:36

Except us!

0:50:360:50:39

-It's no-one else's business!

-For me, another man's baby...

0:50:390:50:42

It's worse than no baby at all.

0:50:440:50:46

DOOR SLAMS

0:50:580:51:00

-What?

-Super Save's Employee of the Month!

0:51:010:51:05

For January!

0:51:050:51:07

-That chubby little snitch.

-Delicatessen counter.

0:51:070:51:09

Thought she drowned in a pond trying to save your dog Winston?

0:51:090:51:13

-You told us your mother died!

-For you. Because yours did die.

0:51:130:51:16

-Oh...

-I'm sorry?

0:51:160:51:19

You lied about your mother dying so I would like you more?

0:51:190:51:22

It makes me seem more interesting. Because the truth is...not at all!

0:51:220:51:26

How are we supposed to believe that anything you say is truth or fantasy

0:51:260:51:29

if you're going to lie about your own mother's death so elaborately?!

0:51:290:51:32

What about the bullying? Kevin Cart?

0:51:320:51:34

-I was bullied at school for being gay.

-Yes, but by Kevin?

-Yes!

0:51:340:51:38

-I definitely think so!

-SHE LAUGHS

0:51:380:51:39

Why do you need to be so devious? You are so slippery!

0:51:390:51:43

I believed all of this!

0:51:430:51:44

Never again!

0:51:440:51:45

DOOR SLAMS

0:51:540:51:56

Hey.

0:52:070:52:08

I've got a patient allergic to morphine. What do I give him?

0:52:090:52:12

How long have you been a doctor?!

0:52:120:52:14

OK, so maybe it was just an excuse.

0:52:150:52:18

-To poke your nose in?

-To see how you are.

0:52:180:52:21

Look, I know you probably hate being asked you if you're OK, but...

0:52:230:52:28

you look a bit ruffled and you did just have

0:52:280:52:30

-a very public ding-dong with your husband, so...

-No.

0:52:300:52:34

Really relish the attention.

0:52:340:52:35

-Yeah, thought so.

-Just bursting to tell everyone -

0:52:360:52:40

from complete strangers to sexually predatory doctors -

0:52:400:52:44

all my personal secrets.

0:52:440:52:46

Predatory?! Is that how you see me?

0:52:460:52:48

That's how the entire female population of this hospital see you.

0:52:480:52:52

In a bad way? Because I don't get a lot of knock-backs.

0:52:520:52:56

-At least I make you smile.

-Yeah.

0:52:580:53:00

Things back there looked pretty intense.

0:53:020:53:04

-You trying to cheer me up or depress me?

-Sorry.

0:53:040:53:06

According to your husband, I'm crap at my job,

0:53:090:53:11

-so maybe I can't do anything right.

-He on your case?

0:53:110:53:13

All. The. Time.

0:53:150:53:17

Frankly, it's hard competing with Mr Perfect.

0:53:190:53:23

He's not perfect, believe me.

0:53:230:53:25

Yeah? Well, erm...

0:53:250:53:27

..that's good to know, because...

0:53:280:53:31

-What?

-Oh, nothing.

-What?!

-It's just, sometimes,

0:53:310:53:35

he acts like he knows what's best for everybody and maybe he does...

0:53:350:53:40

He doesn't.

0:53:400:53:41

He's a very clever man.

0:53:410:53:43

He doesn't always know what's best.

0:53:430:53:46

-Trust me.

-Yeah?

0:53:460:53:47

So tell me.

0:53:490:53:51

Give me a minute.

0:53:550:53:56

Still experiencing conditions of permafrost?

0:54:120:54:14

-There has been some thaw.

-Oh, well, I'm not feeling it.

0:54:140:54:17

-Did you miss me?

-Like I'd miss herpes.

0:54:180:54:22

-Is that the gold-digging Sylvia in there?

-Er, No. Alan's wife Jill.

0:54:220:54:25

She obviously forgave him his stray from the path of righteousness.

0:54:250:54:28

Maybe she just thought he deserves a second chance.

0:54:300:54:33

Some women only have themselves to blame.

0:54:330:54:35

Not been easy, but I think I may have

0:54:390:54:41

-poured a little balm over troubled waters.

-Mmm.

0:54:410:54:44

This is Jac Naylor. You're going to need a tanker-load of balm.

0:54:440:54:47

-I'm off.

-Right.

0:54:550:54:56

-Look, Jac, I...

-Listen, I, er, meant to give this to you earlier on.

0:54:560:55:00

Vanessa Pryce - your typical rabid rottweiler in kitten heels,

0:55:000:55:04

-but if you want a job done properly.

-What?

0:55:040:55:07

My lawyer.

0:55:080:55:09

CARD CRUMPLES

0:55:140:55:16

He lied about his mother dying to make you like him more?

0:55:160:55:18

-It's almost flattering.

-That's completely insane behaviour!

0:55:180:55:21

I did it to make myself seem more interesting.

0:55:210:55:25

-You saw my mum.

-Yes.

0:55:250:55:27

What, you've never lied to make someone like you, Spreckles?

0:55:270:55:30

-Er, no. Never!

-Well, aren't you lucky?

0:55:300:55:33

I didn't think anyone would like me for being me.

0:55:330:55:36

"Gay Darren".

0:55:360:55:38

-Well, frankly...

-Look, I'm sorry. Please don't hate me.

0:55:380:55:41

-I won't lie to you again.

-I don't hate you.

0:55:410:55:44

You're fascinating.

0:55:440:55:45

I've never met anyone with such a fluid concept of the truth.

0:55:450:55:48

Albie's for a pint?

0:55:480:55:50

Come on, Arthur.

0:55:500:55:52

What?!

0:55:550:55:56

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